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Exam 34: Bowel Elimination and Gastric Intubation

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Question 1

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The Levin tube and the Salem sump tube are used most commonly for stomach decompression.Which of the following statements about these tubes is true? (Select all that apply.)

A) Levin tubes have a blue "pigtail" that functions as an air vent.
B) These tubes are inserted as a sterile procedure.
C) The blue air vent should not be used for irrigation.
D) The Salem sump tube has a blue "pigtail" that functions as an air vent.
E) The Salem sump is preferred for stomach decompression.

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Question 2

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When preparing an adult patient for an enema, the nurse understands that the tube or nozzle should be inserted how far?

A) 1 to inches
B) 2 to 3 inches
C) 3 to 4 inches
D) 4 to 5 inches

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Question 3

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The nurse prepares to exercise a digital removal of feces.To detect an untoward effect of this procedure, the nurse should assess the patient history for which condition?

The nurse assesses that a patient has a severe fecal impaction.Which action taken by the nurse addresses this problem?

When care is provided for a patient with an NG tube in place, which intervention is safest for the nurse to implement?

The __________ system is an intrarectal catheter that has a retention cuff, an intraluminal balloon, three pilot balloons, anchor straps, and a port for sampling stool.The purpose of this system is to divert feces away from wounds while providing access for administering rectal medications and irrigations.

An ___________ is the instillation of a solution into the rectum and sigmoid colon to promote defecation by stimulating peristalsis.

When providing care for a patient who is disoriented during a nasogastric (NG) tube placement, which intervention is important for the nurse to implement?

The patient has increased his fluid and dietary fiber intake and has started a supervised exercise program.However, he is still having problems with constipation.Which of the following would be an effective intervention? (Select all that apply.)

While the nurse is administering an enema with a standard enema bag, which intervention is important to implement?

The nurse is caring for a patient who has been on bed rest for several weeks.The nurse notes that the patient is continually seeping liquid stool rectally.The nurse should take which action?

The nurse has been directed to provide an enema for an elderly female patient who has very poor rectal sphincter control.Which position is most appropriate for this patient?

The nurse is preparing to administer an enema to an adult patient who has normal sphincter control.For administration of the enema, the patient is placed in which position?

While the nurse is administering an enema, the patient complains of some cramping.Which action should the nurse take next?

The inability to pass a hard collection of stool is known as ______________.

When developing a plan of care for a patient requiring an NG tube, the nurse recognizes that it is essential to implement which technique in measuring the length of the tube?

A bedpan that is designed for patients with body or leg casts or for patients restricted from raising their hips (e.g., following total joint replacement) is known as a _____________.

The patient is a 74-year-old man who has been in the hospital for 4 days following an orthopedic surgical procedure.He is concerned because he has not moved his bowels every day as he did before surgery, but every other day.Which response made by the nurse is appropriate?

The patient is being prepped for surgery and has an order for "enemas until clear." The nurse realizes that she will be giving a maximum of how many enemas?

The patient is receiving a soapsuds enema but is having a difficult time retaining the fluid.What action should the nurse take? (Select all that apply.)